Mea haole - ale ʻia
Inā ʻoe e ale i kahi mea haole, hiki ke paʻa ma ka ʻōpū o ka gastrointestinal (GI) mai ka esophagus (ʻōpuʻu ʻine) i ke kolona (ʻōpū nui). Hiki i kēia ke alakaʻi i kahi paʻa a haehae paha i ka palapala GI.
ʻO nā keiki i piha nā makahiki 6 a 3 mau makahiki i ka hui makahiki e ale paha i kahi mea haole.
Pili pū paha kēia mau mea i nā moni, nā kinikini, nā pin, nā holoi penikala, nā pihi, nā lei, a me nā mea liʻiliʻi a i ʻole nā meaʻai.
Hiki pū i nā mākua ke ale i nā mea haole ma muli o ka ʻona, maʻi noʻonoʻo, a dementia paha. ʻO nā poʻe ʻelemakule e ale nei i nā pilikia e ale wale paha lākou i kā lākou niho niho. Hoʻopau pinepine ka poʻe hana hana i nā kui a i ʻole nā ʻāpana, a ʻo nā mea hoʻopaʻa lole a me nā mea hana lole e ale pinepine i nā pin a i nā pihi.
Makemake nā kamaliʻi e ʻimi i nā mea me ko lākou waha a ale paha i kahi mea ma ke kumu a i ʻole kuʻikahi. Inā hele ka mea i loko o ka paipu meaʻai a i loko o ka ʻōpū me ka ʻole o ka paʻa, e hele paha ia i loko o ka palapala GI holoʻokoʻa. Hiki i nā mea ʻoi, kuhi, a i ʻole caustic nā mea e like me nā pākeke ke hana i nā pilikia koʻikoʻi.
E hele pinepine nā mea i ka mahele GI i loko o hoʻokahi pule. I ka hapanui o nā hihia, hele ka mea i loko me ka ʻole e hōʻeha i ke kanaka.
ʻO nā hōʻailona me:
- Kāpena
- ʻ Clelo huna
- ʻUhihi
- Hanu walaʻau
- ʻAʻohe hanu a me ka pilikia hanu (respiratory respiratory)
- ʻEha, ʻāʻī, a ʻeha ʻāʻī paha
- Huli polū, ʻulaʻula, keʻokeʻo paha i ka maka
- Pilikia i ka ale ʻana i ka lihi
I kekahi manawa, ʻike ʻia nā ʻōuli liʻiliʻi wale nō i ka mua. Poina paha ka mea a hiki i ka hoʻomohala ʻana o nā ʻōuli e like me ka mumū a me ka maʻi.
ʻO kēlā me kēia keiki i manaʻo ʻia ua ale i kahi mea haole e pono e kiaʻi ʻia.
- Hanu maʻamau
- Drooling
- Fiva
- Huhū, keu hoʻi i nā pēpē
- Palupalu kūloko
- ʻEha (waha, ʻāʻī, umauma, a i ʻole ʻōpū)
- ʻO ka luaʻi
Pono e nānā ʻia nā ʻōpū (hoʻoneʻe i nā ʻōpū) e ʻike inā ua hele ka mea i loko o ke kino. Lawe ʻia kēia i kekahi mau lā a i kekahi manawa e kumu i ke kahe ʻana o ke ākea a anal paha.
Pono ʻia kahi kaʻina hana i kapa ʻia endoscopy e hōʻoia inā ua ale ke keiki i kahi mea a wehe iā ia. E hana ʻia ka endoscopy inā lōʻihi a ʻoiʻoi paha ka mea, a i ʻole he magnet a i ʻole kahi pakuhi disk. E hana pū ʻia ia inā he drooling ke keiki, hanu paʻakikī, kuni, luaʻi, a ʻeha paha. E hana pū ʻia nā kukuna X.
I nā hihia koʻikoʻi, pono paha ke kahakaha e hemo ai ka mea.
Mai hoʻoikaika i nā keiki hānai e uē ana a e hanu wikiwiki nei. Hoʻokumu paha kēia i ka pēpē e inu i ka wai a i ʻole ka meaʻai paʻa i loko o kā lākou ala.
Kāhea i kahi kahu mālama ola a i ʻole helu kūloko kūloko (e like me 911) inā manaʻo ʻoe ua ale ke keiki i kahi mea haole.
Pākuʻi ʻia nā ana Preventive:
- E ʻokiʻoki i ka meaʻai i mau ʻāpana liʻiliʻi no nā keiki ʻōpio. E aʻo iā lākou pehea e nau pono ai.
- Hoʻoikaika i ke kamaʻilio ʻana, ʻakaʻaka ʻana, a i ʻole ke pāʻani ʻana ʻoiai aia ka meaʻai i ka waha.
- Mai hāʻawi i nā meaʻai weliweli e like me nā ʻīlio wela, nā hua waina holoʻokoʻa, nā nati, nā popcorn, nā meaʻai me nā iwi, a i ʻole nā kanakē paʻakikī i nā keiki ma lalo o ka makahiki 3.
- E mālama i nā mea liʻiliʻi mai kahi e hiki ai i nā keiki ʻōpio.
- E aʻo i nā keiki e hōʻalo i ka waiho ʻana i nā mea haole i ko lākou ihu a me nā puka kino ʻē aʻe.
ʻAi kino kino haole
ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nā kino ʻē a me nā bezoar. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 360.
ʻO Pfau PR, ʻo Benson M. Nā kino ʻē, nā bezoar, a me nā ingestions caustic. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 28.
Schoem SR, Rosbe KW, Lee ER. Aerodigestive haole kino a me ka caust ingestions. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 211.
ʻO Thomas SH, Goodloe JM. Nā kino haole. I nā paia RM, ʻo Hockberger RS, ʻo Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 53.